Archived: Warwick Square Group Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drs. Wigmore and Kari on 10 May 2016. Overall, the practice is rated as good.

(Prior to October 2015, three separate GP practices were based at the Grosvenor House Surgery premises and there was separate National GP Patient Survey and Quality and Outcome Framework (QOF) data for each one. In October 2015, Drs. Wigmore and Kari became the only practice to be based at the surgery and they took on the responsibility for providing care and treatment to patients previously registered with the other two practices. As there is only one registered provider, Drs. Wigmore and Kari, the current registration is correct. Although the most recent publicly available information (i.e. the QOF data for 2014/15 and National GP Patient Survey, published in January 2016) covered a period of time when it was available for each separate practice, the Care Quality Commission has only populated this report with the data that relates to the current provider, Drs. Wigmore and Kari.)

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and a good system for reporting, recording and learning from significant events

• Most risks to patients and staff were assessed and well managed.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance.

• Staff had the skills, knowledge and experience to deliver effective care and treatment.

• Services were planned and delivered to take into account the needs of different patient groups and to provide flexibility, choice and continuity of care.

• Services were tailored to meet the needs of individual patients and were delivered in a way that ensured flexibility, choice and continuity of care. All staff were actively engaged in monitoring and improving quality and patient outcomes. Staff were committed to supporting patients to live healthier lives through a targeted and proactive approach to health promotion.

• Patients said they were treated with compassion, dignity and respect and that they were involved in decisions about their treatment.

• Overall, the main practice site had good facilities and was well equipped to treat patients and meet their needs. The branch surgery premises were satisfactory and steps were being taken to improve them.

• The practice had a clear vision and strategy and staff were actively taking steps to deliver the improvements set out in their business development plan. .

The area where the provider must make improvement is:

• Carry out the required employment checks for all staff employed by the practice.

However, there were also areas where the provider needs to make improvements. The provider should:

• Introduce a formal system for updating the practice’s clinical guidelines.

• Provide a defibrillator at the branch surgery, and provide non-clinical staff with annual training in basic life support.

• Carry out an annual comprehensive infection control audit.

• Hold regular clinical meetings.

• Complete outstanding staff appraisals.

• Improve access at the entrance to the main practice for patients with disabilities.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice